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The Future of Assisted Suicide and Euthanasia provides the most thorough overview of the ethical and legal issues raised by assisted suicide and euthanasia--as well as the most comprehensive argument against their legalization--ever published.


In clear terms accessible to the general reader, Neil Gorsuch thoroughly assesses the strengths and weaknesses of leading contemporary ethical arguments for assisted suicide and euthanasia. He explores evidence and case histories from the Netherlands and Oregon, where the practices have been legalized. He analyzes libertarian and autonomy-based arguments for legalization as well as the impact of key U.S. Supreme Court decisions on the debate. And he examines the history and evolution of laws and attitudes regarding assisted suicide and euthanasia in American society.


After assessing the strengths and weaknesses of arguments for assisted suicide and euthanasia, Gorsuch builds a nuanced, novel, and powerful moral and legal argument against legalization, one based on a principle that, surprisingly, has largely been overlooked in the debate--the idea that human life is intrinsically valuable and that intentional killing is always wrong. At the same time, the argument Gorsuch develops leaves wide latitude for individual patient autonomy and the refusal of unwanted medical treatment and life-sustaining care, permitting intervention only in cases where an intention to kill is present.


Those on both sides of the assisted suicide question will find Gorsuch's analysis to be a thoughtful and stimulating contribution to the debate about one of the most controversial public policy issues of our day.

Table of Contents

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  1. Cover
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  1. Title Page, Copyright, Dedication
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  1. Contents
  2. pp. vii-ix
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  1. Acknowledgments
  2. p. xi
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  1. 1. Introduction
  2. pp. 1-7
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  1. 2. The Glucksberg and Quill Controversies: The Judiciary's (Non)Resolution of the Assisted Suicide Debate
  2. pp. 8-18
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  1. 3. The Debate over History
  2. pp. 19-47
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  1. 4. Arguments from Fairness and Equal Protection: If a Right to Refuse, Then a Right to Assisted Suicide?
  2. pp. 48-75
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  1. 5. Casey and Cruzan: Do They Intimate a Right to Assisted Suicide and Euthanasia?
  2. pp. 76-85
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  1. 6. Autonomy Theory's Implications for the Debate over Assisted Suicide and Euthanasia
  2. pp. 86-101
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  1. 7. Legalization and the Law of Unintended Consequences: Utilitarian Arguments for Legalization
  2. pp. 102-142
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  1. 8. Two Test Cases: Posner and Epstein
  2. pp. 143-156
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  1. 9. An Argument against Legalization
  2. pp. 157-180
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  1. 10. Toward a Consistent End-of-Life Ethic: The "Right to Refuse" Care for Competent and Incompetent Patients
  2. pp. 181-218
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  1. Epilogue
  2. pp. 219-226
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  1. Appendix A: Certain American Statutory Laws Banning or Disapprovingof Assisted Suicide
  2. pp. 227-228
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  1. Appendix B: Statistical Calculations
  2. pp. 229-230
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  1. Notes
  2. pp. 231-284
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  1. Bibliography
  2. pp. 285-302
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  1. Index
  2. pp. 303-312
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  1. Series Page
  2. p. 313
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